National Provider Identifier

Traci Ann Mangold, RPH

Traci Ann Mangold, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Lancaster, NY and a listed phone number of (716) 684-7584.

NPI 1053496513Lancaster, NYPharmacist

Profile Overview

NPI
1053496513
Provider Type
Individual
Primary Specialty
Pharmacist
Enumeration Date
October 25, 2006
Last Updated
July 08, 2007

Practice Location

  • 60 Central Ave
  • Lancaster, NY 14086-2115

Phone: (716) 684-7584

Mailing Address

  • 8402 Clarence Lane Ct
  • East Amherst, NY 14051-2003

Specialties

  • Pharmacist (183500000X)
Full Record
NPI
1053496513
Entity Type
Individual
Last Name
Mangold
First Name
Traci
Middle Name
Ann
Name Prefix
Mrs.
Credential
RPH
Mailing Street Address
8402 Clarence Lane Ct
Mailing City
East Amherst
Mailing State
NY
Mailing ZIP Code
14051-2003
Mailing Country
US
Mailing Phone
(716) 741-1138
Practice Street Address
60 Central Ave
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14086-2115
Practice Country
US
Practice Phone
(716) 684-7584
Enumeration Date
October 25, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pharmacist (183500000X)